Search results for "Utilization"
A plan for paracentesis
A hospitalist launched a clinic to provide paracentesis to patients who repeatedly presented to the ED with ascites.
https://acphospitalist.acponline.org/archives/2024/05/22/free/a-plan-for-paracentesis.htm
22 May 2024
Decongestion strategies inconsistently applied in U.S. patients hospitalized for heart failure
Estimated weight loss due to inpatient decongestion varied across 31 hospitals, with some patients gaining weight during admission, a cohort study found.
https://acphospitalist.acponline.org/archives/2024/05/15/decongestion-strategies-inconsistently-applied-in-us-patients-hospitalized-for-heart-failure.htm
15 May 2024
The limited evidence for IV albumin
An expert explains recent guidelines on IV albumin that recommended against the blood product in the settings where it is most commonly used.
https://acphospitalist.acponline.org/archives/2024/04/10/the-limited-evidence-for-iv-albumin.htm
10 Apr 2024
The ACO SNF waiver
Learn how an accountable care organization (ACO) can help get your patient into a skilled nursing facility (SNF).
https://acphospitalist.acponline.org/archives/2024/02/21/free/the-aco-snf-waiver.htm
21 Feb 2024
Analysis highlights poor outcomes, inconsistent treatment of catastrophic PE
Pulmonary embolism (PE) patients with hemodynamic collapse had a 42.1% risk of mortality, according to data from the Pulmonary Embolism Response Team registry. Only 13.3% of such patients underwent extracorporeal membrane oxygenation and 25% got systemic thrombolysis.
https://acphospitalist.acponline.org/archives/2024/01/10/analysis-highlights-poor-outcomes-inconsistent-treatment-of-catastrophic-pe.htm
10 Jan 2024
High-sensitivity troponin testing improved processes, outcomes, hospital studies find
One study found that implementation of high-sensitivity testing reduced five-year mortality among patients with nonischemic myocardial injury, while another showed that it increased serial troponin testing but not hospital admissions.
https://acphospitalist.acponline.org/archives/2023/12/06/high-sensitivity-troponin-testing-improved-processes-outcomes-hospital-studies-find.htm
6 Dec 2023
Readmission rates held steady during pandemic, AHRQ brief finds
Statistics from the Agency for Healthcare Research and Quality (AHRQ) showed that in 2020, admissions for blood diseases carried the highest readmission rate, and Medicare was the payer associated with the highest readmission rate.
https://acphospitalist.acponline.org/archives/2023/10/18/readmission-rates-held-steady-during-pandemic-ahrq-brief-finds.htm
18 Oct 2023
Midline catheters appear safe in patients with advanced CKD
Complication rates with midline catheters were similar in patients with and without advanced chronic kidney disease (CKD) and catheter-related bloodstream infections were rare, according to an analysis of data from 66 Michigan hospitals.
https://acphospitalist.acponline.org/archives/2023/10/11/midline-catheters-appear-safe-in-patients-with-advanced-ckd.htm
11 Oct 2023
Hospital addiction medicine consults less likely among Black patients, study finds
In a retrospective study at an urban U.S. safety-net hospital, patients with substance use disorder were less likely to have an order placed for addiction medicine consultation if they were Black than if they were White, and Black patients who did receive an order were less likely to be seen.
https://acphospitalist.acponline.org/archives/2023/08/16/hospital-addiction-medicine-consults-less-likely-among-black-patients-study-finds.htm
16 Aug 2023
Use of decision aid in ED for patients with AF linked to decrease in admissions
Hospitals that implemented a decision aid to risk stratify patients with atrial fibrillation (AF) in the ED saw a 17% reduction in their odds of hospital admission, but also a small but significant increase in repeat presentations for AF within 30 days, a study found.
https://acphospitalist.acponline.org/archives/2023/08/02/use-of-decision-aid-in-ed-for-patients-with-af-linked-to-decrease-in-admissions.htm
2 Aug 2023